Köhler disease

Case contributed by Eslam Taha
Diagnosis almost certain

Presentation

History of recent right foot pain

Patient Data

Age: 8 years
Gender: Male
mri

The navicular bone appears relatively thinned showing mild collapse with marrow edema signal eliciting high STIR and low T1 signals. Associated patchy marrow edema signal is
also seen involving the tarsal bones (most evident at cuboid bone) and to less extent the bases of the metatarsal bones as well as talus and calcaneus bones

Minimal intertarsal joint effusion

Case Discussion

Features are suggestive of osteonecrosis of navicular bone (Köhler disease) with associated patchy marrow edema of the tarsal and base of metatarsal bones

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